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SVCO SCLC — SCE Medical Oncology MCQ

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ModerateOncological EmergenciesSVCO SCLCSCE Medical Oncology

A 55-year-old woman with SCLC and SVCO on urgent treatment. She has a tissue diagnosis. What is definitive treatment?

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Correct answer: DStart systemic chemotherapy urgently — SCLC is chemosensitive and often produces rapid SVCO resolution; stenting reserved for severe symptoms or unknown histology

SCLC SVCO: chemo is definitive (chemosensitive, rapid response). SVC stenting: severe/life-threatening symptoms, unknown histology, or chemo-resistant tumours. Dexamethasone 16mg/day bridges symptoms.

Reference: ESMO Oncological Emergencies; NICE NG122